| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $637.66 | $4,790.00 | $11,576.00 | |
Florida Blue
| Facility | $5,979.00 | $12,804.00 | $23,031.00 | |
United
| Facility | $3,581.00 | $10,309.00 | $15,888.00 |
Tdn Trnsplj/Tr Flxr/Xtnsr F/Arm&/Wrst 1/Tdn Gr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $637.66 | $4,790.00 | $11,576.00 | |
Florida Blue
| Facility | $5,979.00 | $12,804.00 | $23,031.00 | |
United
| Facility | $3,581.00 | $10,309.00 | $15,888.00 |